NPI 1457732653

Greenwood Leflore Pharmacy

Organisation Community/Retail Pharmacy Greenwood, MS

Practice location

Address: 1401 River Rd, Greenwood, MS 38930-4030
Phone: (662) 455-6809
Fax: (662) 459-2761

Authorised official

Name: David Eugene Clark
Title: Pharmacist in Charge
Phone: (662) 455-6809

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 14368/1.1 (MS)

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Registry record

NPI: 1457732653
Entity type: Organization
NPI issued: 12 Jun 2015
Record last updated: 12 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.